pedsAnesAA13Mar09-1 - PediatricAnesthesia Greg Gordon MD 13...

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Pediatric Anesthesia Greg Gordon MD 13 Mar 09
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Objectives Preop preparation Fluids and electrolytes Cardiopulmonary physiology Induction technics Airway management technics Participants will be able to  explain the implications for anesthesia care of selected characteristics unique to our  pediatric patients in the areas of:  Ref: MetroHealthAnesthesia.com/edu/ped/peds1.htm
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Pediatric anesthesia is a  family affair . Ps yc ho lo g ic a l pre pa ra tio n invo lve s   s tre s s  re duc tio n The  two  m o s t im po rta nt s o urc e s  o f  s tre s s  a re :   1. Fe a r o f the   unknown   2. Fe a r o f  separation The s e  s tre s s e s  a re  b e s t  de a lt with b y: 1. S im ple ,  honest communication c o lo re d b y  positive suggestion m o difie d a c c o rding  to  a g e        In o the r wo rds :  te ll 'e m  jus t wha t's  g o nna  ha ppe n,  in a  po s itive , s uppo rtive  wa y. 2. Ma inta in pa re nta l pre s e nc e  during  induc tio n o f a ne s the s ia   in s e le c te d c a s e s . I. Pre o p  Pre pa ratio n
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Appro a c h de pe nds  o n a g e   o f pa tie nt: Ea rly infa nc y (ne o na te  to  a b o ut 7 m o nths  o f a g e ):  Parents are the primary focus Comfortable separation in preop holding area usual Later infancy to about 3 years:  Separation anxiety major  Surgery ought be outpatient   Selected parental presence 3 to 6 years: Child becomes primary focus.  Explain exactly what will happen; what you will do  Then do it that way. (Be trustworthy!) 6 years to adolescent: Increasing involvement of patient. From 3 of 4 years through adolescence:  Give child choices Parental presence often helpful  
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Useful for all of us, from infancy to old age! SAY G O O D, YES s le e py b re e ze ane s the tic  va po rs pinc h hug  yo ur arm s tic ke rs will be  ne at! fun! m ig ht g e t the  g ig g le s m a ke  yo u la ug h fe e ls  funny ta ke  a  little  na p g o o d jo b , g o o d bo y/g irl pro ud o f yo u c o o l, re fre s hing nic e  little  b ac k rub NOT BAD, NO g a s b ad s m e ll, s tink, s te nc h b e e  s ting take  b lo o d pre s s ure wo n't hurt do n't c ry m a ke  yo u c ry fe e ls  b a d put yo u to  s le e p do n't be  b a d c o ld s o lutio n pre s s  o n yo ur b ac k
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C le a r liq uids 2 ho urs Bre as t m ilk 4 ho urs Infa nt fo rm ula 6 ho urs Lig ht m e al 6 ho urs Re g ula r m e al 8 ho urs    G uide line s  a pply to  he a lthy pa tie nts  unde rg o ing   e le c tive  pro c e ure s .  The y do  no t g ua ra nte e  c o m ple te  g a s tric  e m ptying .  Re fe re nc e :  Anesthesiology  90:896-905, 1999     Minimum Fasting Periods:
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O ffe r c le a r liq uids  up to  2 ho urs  b e fo re   induc tio n:  reduces hunger, irritability  preserves hydration    risk of hypoglycemia
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The only way to definitely confirm readiness! USE A
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This note was uploaded on 12/16/2011 for the course BIOLOGY 101 taught by Professor Mr.wallace during the Fall '11 term at Montgomery College.

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pedsAnesAA13Mar09-1 - PediatricAnesthesia Greg Gordon MD 13...

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